Mark M Berenson, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

32420 Issued in MA

Practice address

721 Main St.
Melrose, MA 02176

Phone

(781) 620-0198

Fax

(781) 620-0108

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Tufts University School of Medicine, 1969

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Merit-based Incentive Payment System (MIPS)

Final score

23.82 of 100Reported as individual

Quality

2.78

Improvement activities

0

Cost

75.7

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mberenson28515@tuftsmedicine.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Berenson, MD PC

  • Orthopaedic Surgery Physician
  • Melrose, MA
  • NPI 1104308881

  MA, Orthopaedic Surgery

  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1942248232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PEARL ST",
            "address_2": "NORTH SUBURBAN ORTHO ASSOC",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-665-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MAIN ST.",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "02176",
            "telephone_number": "781-620-0198",
            "fax_number": "781-620-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENSON",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "32420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "200036492",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178551",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Renee Barker, PTA
• Kimberly Bennett Barnard, LCSW
• Sonia R.U. Beauvais, MD
• Areana Bell
• Alisa Bennett, MSW, LICSW
• Elijah Berg, MD
• Jack F Berg, M.D.
• Evan R Berman, M.D.
• Emma Best
• Beth B Schmitt Licsw LLC

• All providers in Melrose, MA
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.